Active NPI
Mandeep Singh Othee, M.D.
- Pain Medicine Physician
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- P3560
- Practice address
- 540 W 5TH St Ste 340
Odessa, TX 79761-5036 - Phone
- (432) 640-3774
- Fax
- (432) 640-4774
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | P3560 | TX | |
| Pain Medicine Physician | 208VP0000X | P3560 | TX | Primary |
Addresses
Primary practice location
540 W 5TH St Ste 340
Odessa, TX 79761-5036
Mailing address
PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-3774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305901601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 W 4TH St
Odessa, TX 79761-5001
Phone (432) 640-2408
Hospital & facility affiliations
- Medical Center Hospital
- Reeves Regional Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.78 of 100
- Quality
- 60.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCH Professional Care | Pain Medicine | Current | Accepting new patients |
| Western Reserve Professional Group Inc | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
540 W 5th St
Ste 340
Odessa, TX 79761
Phone (432) 335-0210
500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000
315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695
500 N Washington Ave
Ste 400
Odessa, TX 79761
Phone (432) 337-6617
519 N Lincoln Ave
Odessa, TX 79761
Phone (432) 640-6446
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Kent, OH
- NPI 1699986620
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
Hospital
-
- General Acute Care Hospital
- Odessa, TX
- NPI 1740273994
-
- Critical Access Hospital
- Pecos, TX
- NPI 1831170273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577404800000",
"number": "1295850436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2129",
"city": "ODESSA",
"state": "TX",
"postal_code": "797602129",
"telephone_number": "432-640-3774",
"fax_number": "432-640-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 W 5TH ST STE 340",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615036",
"telephone_number": "432-640-3774",
"fax_number": "432-640-4774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTHEE",
"first_name": "MANDEEP",
"middle_name": "SINGH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2019-12-27",
"certification_date": "2019-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "P3560",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "P3560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305901601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.